38998D - Dickson

4
1CAMA/ ❑DREDGE & FILL
;ENERAL PERMIT Previous permit#
;New —Modification JComplete Reissue .7Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources �7/
(T�
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1• I z d C
,�Rules attached.
t Name n G k s 'r. Project Location: County PE" "C
I I S "PO h r✓' i ✓\ A Leh {- Street Address/State Road/Lot#(s)y �/
e�cV./' He State /VC ZIP 2 PI ?I.' ? 409 Ai . AnI&✓5Cj vlv�'(r/
(�y fi,5. 3070 Fax#( ) Subdivision
ed Agent /]Al/ /n j/ems--ct r1 City T/'P1nr ,/ 3eACL. ZIP 2- 9'
� 0
CW EW �}PTA '4S ❑PTS Phone# ( ) River Basin r Are
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body El()h kg C in c '^^c/ nat,/i
❑PWS: ❑FC: f�77
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body v a k s t I aet A t I
Project/Activity JI et i ;ef' Flo,4 ro. n-, > fi I✓'t? / 1?-
(Scale:
ck)length // 5'k 6,# •
i(s) y 12.. .9 Ig6rti*1
- 4it1..._ 1Tan DEC i..._._.... :.__... _.__._.. -
ier(s) / !X 14i -i I'i4fd/'ir T
ngth { Ham..— 1 l
._ �/ j l
mber i
d/Riprap length t Yf I i
;distance offshore i� � „roe,-
is distance offshore ;_ _ ,_. _ . G V
cannel f l/✓R
/jl
.._
-
)ic yards '
np
ise/ oath v' 14 � � I _ I
ulldozing i - V
V a..-
f
yI
e Length — i _ 1 — .
not sure yes o { Ilir
s: not sure yes no -. F 1 1... _
L...... —. _ _ ,
•cum: n/a yes no I I -_. . ._ r.
yes no 1 —4 ,- Q _1_,..).r r'.' ili in
I
A - )v19{1,
4ttached: y�' no � ,
ng permit maybe required by: 17',5 et i ) i (^ I See note on back regarding River Basin r

GENERAL PERMIT COlVfPUTER FORM
^,cps jc 2\--1—vr: �o D i C s o t,Th.
ADDITIIION=L NAMES: ) ro5�e t�
EC DESIG: CL,Jl C 4,PT, ES DEVELOP A-4:_D.O Z. PROJ DESC:
(Will 1 onlyta►:6) (Will only mkt 1)
WORK: L i v 13 L 1 13
(Val crsiym::=)rtK 103 6
Mai:
(�;.•iu only m:.=)
krill, 1 70 Lrv\ 6r5 ow 730
(u only aK 6)
ACTION ? IRATIOI�
DREDGE S:FILL REQUIRED: 7/ to f O'-1" ) Ol 6/O if
—___ CAM?MAJOR DEV r.L REQUIRED' : `�I/ 6/O Lf /o/6/0 4

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: _ '`r,�,,�
��. LKSOfiI.
Address of Property: ' /(i I p ,'sow 1311/1:,
(Lot or Street#, Street or Road)
Aact /4119‘ondei
(City and County)
1 hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing_ A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Z "7- c, y-
SieFiName '/1 Date
A79111211A
['ruts Name __
i•�iikrAriL ltn

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: , ;�` ` yam
Address of Property: /--M N Arrief-- 3r) ,fI Vd.
(Lot or Street#, Street or Road)
To;
eij /./:)). .„(cA. /1.4/1/,../;±7:0
(City and County)
I hereby certify that : 1 property adjacent to the above-referenced property. The individual
applying for this permit 'as described to me as shown on the attached drawing the development they
are pr .sin de ' '•tion or drawing, with dimensions, should be provided with this letter.
�, I 'ave no objections to this ro osal.
P P
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understa that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
set bck in' imum distance of 15' from my area of riparian access-unless waived by me. (If
fou tz, aive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Si a Date
AT:A
['run Name
/?n.rs i Q ,7- _ ,i �,-,J�`J �.,✓
J 1•IPIRAC1.11,1

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